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The role of state capacity and socio-economic determinants on health quality and its access in Pakistan (1990–2019)

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  • Abbas, Hafiz Syed Mohsin
  • Xu, Xiaodong
  • Sun, Chunxia

Abstract

Quality of Healthcare and accessibility is one of the vital Sustainable Development Goals (SDGs). For achieving this goal, the United Nations focuses on state capacity development and associated determinants in emerging and developing countries. By focusing on this objective, this study evaluates and examines the liaison of state capacity, socio-economic conditions, private health expenditures, and demographic pressure to the quality of health and its accessibility in Pakistan from 1990 to 2019. This study investigates the policy implications and their consequences on Pakistan's health conditions during the last three decades. Moreover, during COVID-19, pandemic health governs policies in the year 2020 have also been considered by using the Health Containment Index and analyzed policy implication on combating COVID-19. By applied Ordinary Least Square and Fixed Effect estimations, results show that Pakistan's health conditions have been showing sluggish improvement in the last three decades. Prudent policy-making and adequate health spending have a strong significant impact on health quality and accessibility, while institutional corruption and demographic pressure have adversely affected Pakistan's health outcomes. This proposed study analyzed that policy enforcement has been fragile in Pakistan from 1990 to 2010. Furthermore, this study concludes that from the year 2010 to date with the 18th constitutional amendment to administration and public policies have fractionally improved Pakistan's health conditions. However, Pakistan still lacks the International standards and minimum criteria of health measures a far behind Sustainable Development. The present study concludes that a sound and effective policy enforcement by enhancing resource capacity, quality of institutional practices, and controlling socio-economic conditions will promote SDG of health quality in Pakistan.

Suggested Citation

  • Abbas, Hafiz Syed Mohsin & Xu, Xiaodong & Sun, Chunxia, 2022. "The role of state capacity and socio-economic determinants on health quality and its access in Pakistan (1990–2019)," Socio-Economic Planning Sciences, Elsevier, vol. 83(C).
    • Handle: RePEc:eee:soceps:v:83:y:2022:i:c:s0038012121001014
    DOI: 10.1016/j.seps.2021.101109
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    1. Ghazia Aslam & Serdar Yilmaz, 2011. "Impact Of Decentralization Reforms In Pakistan On Service Delivery—An Empirical Study," Public Administration & Development, Blackwell Publishing, vol. 31(3), pages 159-171, August.
    2. Raja, Usman & Azeem, Muhammad Umer & Haq, Inam Ul & Naseer, Saima, 2020. "Perceived threat of terrorism and employee outcomes: The moderating role of negative affectivity and psychological capital," Journal of Business Research, Elsevier, vol. 110(C), pages 316-326.
    3. Christopher F Baum & Arthur Lewbel, 2019. "Advice on using heteroskedasticity-based identification," Stata Journal, StataCorp LP, vol. 19(4), pages 757-767, December.
    4. Ferreira, D.C. & Marques, R.C., 2021. "Public-private partnerships in health care services: Do they outperform public hospitals regarding quality and access? Evidence from Portugal," Socio-Economic Planning Sciences, Elsevier, vol. 73(C).
    5. Koch, Kira Johanna & Cid Pedraza, Camilo & Schmid, Andreas, 2017. "Out-of-pocket expenditure and financial protection in the Chilean health care system—A systematic review," Health Policy, Elsevier, vol. 121(5), pages 481-494.
    6. Hafiz Syed Mohsin Abbas & Samreen Gillani & Saif Ullah & Muhammad Ahsan Ali Raza & Atta Ullah, 2020. "Nexus Between Governance and Socioeconomic Factors on Public Service Fragility in Asian Economies," Social Science Quarterly, Southwestern Social Science Association, vol. 101(5), pages 1850-1868, September.
    7. Krieger, Tim & Meierrieks, Daniel, 2019. "Income inequality, redistribution and domestic terrorism," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 116, pages 125-136.
    8. Sisira Kumara, Ajantha & Samaratunge, Ramanie, 2019. "Relationship between healthcare utilization and household out-of-pocket healthcare expenditure: Evidence from an emerging economy with a free healthcare policy," Social Science & Medicine, Elsevier, vol. 235(C), pages 1-1.
    9. Claudio Di Berardino & Dario D'Ingiullo & Davide Quaglione & Alessandro Sarra, 2019. "Migration and institutional quality across Italian provinces: The role of human capital," Papers in Regional Science, Wiley Blackwell, vol. 98(2), pages 843-860, April.
    10. Im, Kyung So & Pesaran, M. Hashem & Shin, Yongcheol, 2003. "Testing for unit roots in heterogeneous panels," Journal of Econometrics, Elsevier, vol. 115(1), pages 53-74, July.
    11. Fahad, Shah & Inayat, Tahira & Wang, Jianling & Dong, Li & Hu, Guangyin & Khan, Sufyanullah & Khan, Aaqil, 2020. "Farmers’ awareness level and their perceptions of climate change: A case of Khyber Pakhtunkhwa province, Pakistan," Land Use Policy, Elsevier, vol. 96(C).
    12. Arshad Hayat, 2019. "Foreign direct investments, institutional quality, and economic growth," The Journal of International Trade & Economic Development, Taylor & Francis Journals, vol. 28(5), pages 561-579, July.
    13. Francesco Angelini & Guido Candela & Massimiliano Castellani, 2020. "Governance efficiency with and without government," Social Choice and Welfare, Springer;The Society for Social Choice and Welfare, vol. 54(1), pages 183-200, January.
    14. Inam Ul Haq & Usman Raja & Muhammad Umer Azeem & Saima Naseer, 2020. "Perceived threat of terrorism and employee outcomes: The moderating role of negative affectivity and psychological capital," Post-Print hal-03395416, HAL.
    15. Tolga Omay & Furkan Emirmahmutoglu & Syed Jawad Hussain Shahzad, 2021. "Comparison of optimization algorithms for selecting the fractional frequency in Fourier form unit root tests," Applied Economics, Taylor & Francis Journals, vol. 53(7), pages 761-780, February.
    16. Barlow, Pepita, 2020. "Global disparities in health-systems financing: A cross-national analysis of the impact of tariff reductions and state capacity on public health expenditure in 65 low- and middle-income countries, 199," LSE Research Online Documents on Economics 104107, London School of Economics and Political Science, LSE Library.
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